RESUMO
In voltage clamped photoreceptor cells of the barnacle, light-induced membrane current varied nonlinearly with membrane potential and changed sign at about + 27 millivolts (reversal potential) independently of light intensity. Instantaneous current-voltage relations were linear and intersected the voltage axis at the reversal potential. Illumination increased membrane conductance that was dependent on membrane potential, light intensity, and time.
Assuntos
Luz , Potenciais da Membrana , Células Receptoras Sensoriais , Animais , Permeabilidade da Membrana Celular , Crustáceos , SódioRESUMO
The estrogen receptor-alpha gene (ESR1) was previously identified as a direct target of the homeobox transcription factor BARX2 in MCF7 cells. Here, we show that BARX2 and ESR1 proteins bind to different ESR1 gene promoters and regulate the expression of alternatively spliced mRNAs that encode 66 and 46 kDa ESR1 protein isoforms. BARX2 increases the expression of both ESR1 isoforms; however, it has a greater effect on the 46 kDa isoform, leading to an increased ratio between the 46 and 66 kDa proteins. BARX2 also influences estrogen-dependent processes such as anchorage-independent growth and modulates the expression of the estrogen-responsive genes SOX5, RBM15, Dynein and Mortalin. In addition, BARX2 expression promotes cellular invasion and increases the expression of active matrix metalloproteinase-9 (MMP9). BARX2 also increases the expression of the tissue inhibitor of metalloproteinase (TIMP) genes, TIMP1 and TIMP3, in cooperation with estrogen signaling. Overall, these data indicate that BARX2 and ESR1 may coordinately regulate cell growth, survival and invasion pathways that are critical to breast cancer progression.
Assuntos
Receptor alfa de Estrogênio/fisiologia , Proteínas de Homeodomínio/fisiologia , Processamento Alternativo , Sequência de Bases , Neoplasias da Mama/patologia , Divisão Celular , Linhagem Celular Tumoral , Cromatina/fisiologia , Primers do DNA , Receptor alfa de Estrogênio/genética , Regulação Neoplásica da Expressão Gênica , Proteínas de Homeodomínio/genética , Humanos , Metaloproteinases da Matriz/genética , Invasividade Neoplásica , Isoformas de Proteínas/genética , RNA Neoplásico/genética , RNA Neoplásico/isolamento & purificação , Inibidores Teciduais de Metaloproteinases/genéticaRESUMO
Prx1 and Prx2 are homeobox transcription factors expressed during vasculogenesis. To begin to elucidate how Prx1 and Prx2 are regulated and function in the adult vasculature, in situ hybridization studies were performed. Prx1 and Prx2 mRNAs were not detected in normal adult rat pulmonary arteries; however, both genes were induced with vascular disease, colocalizing to sites of tenascin-C (TN-C) expression. Because catabolism of the extracellular matrix (ECM) is a critical step in the development of vascular disease, we investigated whether changes in vascular smooth muscle cell (SMC)-ECM interactions regulate Prx1 and Prx2. A10 SMCs cultured on native type I collagen showed low levels of Prx1 and Prx2 mRNA expression, whereas cells cultured on denatured collagen showed higher levels of expression of both genes. At a functional level, transfection of SMCs with a Prx1 expression plasmid significantly increased their growth. Because TN-C also promotes SMC growth and its expression is also upregulated by denatured collagen, we tested and thereafter showed that Prx1 expression significantly enhances TN-C gene promoter activity 20-fold. Similar experiments conducted with truncated Prx1 proteins showed that the N-terminal portion and the homeodomain of Prx1 were necessary to induce the bulk of TN-C promoter activity. These findings support the hypothesis that Prx genes are regulated by changes in SMC adhesion and play key morphoregulatory roles during the development and progression of pulmonary vascular disease in adults.
Assuntos
Proteínas de Homeodomínio/genética , Proteínas de Homeodomínio/fisiologia , Hipertensão Pulmonar/genética , Músculo Liso Vascular/metabolismo , Tenascina/genética , Fatores de Transcrição/genética , Fatores de Transcrição/fisiologia , Animais , Sítios de Ligação , Western Blotting , Adesão Celular/fisiologia , Divisão Celular/genética , Linhagem Celular , Clonagem Molecular , Regulação da Expressão Gênica , Proteínas de Fluorescência Verde , Hipertensão Pulmonar/metabolismo , Hipertensão Pulmonar/patologia , Luciferases/genética , Luciferases/metabolismo , Proteínas Luminescentes/genética , Proteínas Luminescentes/metabolismo , Masculino , Músculo Liso Vascular/citologia , Regiões Promotoras Genéticas/genética , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Ratos , Ratos Sprague-Dawley , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/metabolismo , Tenascina/metabolismoRESUMO
Expression of gp91-phox in Chinese hamster ovary (CHO91) cells is correlated with the presence of a voltage-gated H(+) conductance. As one component of NADPH oxidase in neutrophils, gp91-phox is responsible for catalyzing the production of superoxide (O(2).(2)). Suspensions of CHO91 cells exhibit arachidonate-activatable H(+) fluxes (Henderson, L.M., G. Banting, and J.B. Chappell. 1995. J. Biol. Chem. 270:5909-5916) and we now characterize the electrical properties of the pathway. Voltage-gated currents were recorded from CHO91 cells using the whole-cell configuration of the patch-clamp technique under conditions designed to exclude a contribution from ions other than H(+). As in other voltage-gated proton currents (Byerly, L., R. Meech, and W. Moody. 1984. J. Physiol. 351:199-216; DeCoursey, T.E., and V.V. Cherny. 1993. Biophys. J. 65:1590-1598), a lowered external pH (pH(o)) shifted activation to more positive voltages and caused the tail current reversal potential to shift in the manner predicted by the Nernst equation. The outward currents were also reversibly inhibited by 200 microM zinc. Voltage-gated currents were not present immediately upon perforating the cell membrane, but showed a progressive increase over the first 10-20 min of the recording period. This time course was consistent with a gradual shift in activation to more negative potentials as the pipette solution, pH 6.5, equilibrated with the cell contents (reported by Lucifer yellow included in the patch pipette). Use of the pH-sensitive dye 2'7' bis-(2-carboxyethyl)-5(and 6) carboxyfluorescein (BCECF) suggested that the final intracellular pH (pH(i)) was approximately 6.9, as though pH(i) was largely determined by endogenous cellular regulation. Arachidonate (20 microM) increased the amplitude of the currents by shifting activation to more negative voltages and by increasing the maximally available conductance. Changes in external Cl(-) concentration had no effect on either the time scale or the appearance of the currents. Examination of whole cell currents from cells expressing mutated versions of gp91-phox suggest that: (a) voltage as well as arachidonate sensitivity was retained by cells with only the NH(2)-terminal 230 amino acids, (b) histidine residues at positions 111, 115, and 119 on a putative membrane-spanning helical region of the protein contribute to H(+) permeation, (c) histidine residues at positions 111 and 119 may contribute to voltage gating, (d) the histidine residue at position 115 is functionally important for H(+) selectivity. Mechanisms of H(+) permeation through gp91-phox include the possible protonation/deprotonation of His-115 as it is exposed alternatively to the interior and exterior faces of the cell membrane (see Starace, D.M., E. Stefani, and F. Bezanilla. 1997. Neuron. 19:1319-1327) and the transfer of protons across an "H-X-X-X-H-X-X-X-H" motif lining a conducting pore.
Assuntos
Ligação Genética/genética , Hidrogênio/metabolismo , Ativação do Canal Iônico/fisiologia , Canais Iônicos/fisiologia , Glicoproteínas de Membrana/genética , NADPH Oxidases/genética , Cromossomo X/genética , Animais , Ácido Araquidônico/metabolismo , Células CHO , Cricetinae , Citoplasma/metabolismo , Eletrofisiologia , Expressão Gênica/fisiologia , Histidina/metabolismo , Humanos , Ativação do Canal Iônico/efeitos dos fármacos , Canais Iônicos/antagonistas & inibidores , Canais Iônicos/metabolismo , Mutação/fisiologia , NADPH Oxidase 2 , Neutrófilos/metabolismo , Técnicas de Patch-Clamp , Zinco/farmacologiaRESUMO
Beroë muscle fibers are single cells which may be 20-40 micrometer in diameter in mature specimens. Longitudinal muscles may be 6 cm or more long. There is no striation pattern and the muscles were observed to contract in a tonic fashion when stretched. They are innervated by a nerve net, and external recording revealed what are probably nerve net impulses. Intracellular stimulation of the muscles themselves was found to initiate large propagating action potentials which were recorded intracellularly. The action potentials were insensitive to tetrodotoxin (10(-5) g/ml), tetraethylammonium ions (50 mM), MnCl2 (25 mM), and low concentrations of verapamil (2 X 10(-6) g/ml). Full-size action potentials were recorded in sodium- or calcium-deficient salines, but were small and graded in salines deficient in both sodium and calcium. Cable analysis yielded mean values for lambda (1.95 mm), Ri (154 omega cm), Rm (9,253 omega cm2), and tau m (13.9 ms). The conduction velocity depended primarily on fiber diameter and maximum rate of rise of the action potential and could be predicted from the theoretical analysis of Hunter et al. (1975 Prog. Biophys. Mol. Biol. 30: 99-144). The calculated membrane capacity (less than microF/cm2) indicates little infolding of the surface membrane, a conclusion which is in agreement with anatomical studies.
Assuntos
Cnidários/citologia , Músculo Liso/citologia , Animais , Eletrofisiologia , Técnicas In Vitro , Músculo Liso/inervação , Músculo Liso/fisiologia , Músculo Liso/ultraestruturaRESUMO
Under normal physiological conditions, glucuronidation generally terminates the biological activities of steroids and leads to their elimination in the bile and urine. This process is postulated to play a role in homeostasis by regulating the intracellular steady-state levels of these effector ligands. Indeed, the duration of response to specific steroid signals may be partly determined by the capacity of the cell or tissue to eliminate the steroids as unreactive glucuronides. Under pathophysiological conditions or during steroid therapies, glucuronidation may sometimes result in the formation of more biologically active or toxic metabolites as exemplified by the steroid D ring glucuronides. The degree of toxicity or biological effect in the cell exposed to these steroids will also depend on its complement of UGTs. To investigate these processes in more detail, the steroid specificities and distribution of individual UGTs in various target organs require elucidation. In this review, our current knowledge of the steroid specificities of various rat and human UGTs is described and preliminary investigations on the mechanisms governing tissue specificity are presented.
Assuntos
Glucuronosiltransferase/metabolismo , Fígado/enzimologia , Mucosa Nasal/enzimologia , Animais , Bovinos , Glucuronosiltransferase/genética , Humanos , RatosRESUMO
UDP-glucuronosyltransferases (UGTs) are membrane-bound glycoproteins that are resident in the endoplasmic reticulum with a type I topology. The roles of the membrane-spanning and membrane-proximal cytoplasmic domains in UGT activity were investigated. Site-directed and deletional mutagenesis techniques were used to generate truncated forms of the enzyme, forms with altered residues, or forms with heterologous tails appended to the carboxyl terminus. The presence of the transmembrane domain was a critical requirement for UGT activity whereas the cytoplasmic domain seemed to be a modulator of activity but was not essential. Truncation of the protein did not appear to lead to scavenging and degradation, although appending long heterologous tails to the cytoplasmic domain did seem to trigger proteolysis. Analysis of enzyme kinetic parameters and enzyme latency allowed us to discount substrate binding or substrate transport defects as the cause of ameliorated UGT activity in the mutants.
Assuntos
Glucuronosiltransferase/química , Glucuronosiltransferase/metabolismo , Mutação , Sequência de Aminoácidos , Animais , Linhagem Celular , Membrana Celular/química , Chlorocebus aethiops , Citoplasma/química , Glucuronosiltransferase/genética , Cinética , Dados de Sequência Molecular , MutagêneseRESUMO
1. The relay system is an interneuronal pathway in the margin of the jellyfish Aglantha digitale. It excites a second interneuronal pathway, the carrier system, and is itself excited by pacemaker neurones concerned with slow swimming. It also excites a slow conduction pathway in the tentacles causing graded, tonic contractions of all the tentacles during slow swimming. 2. The pacemakers, the carrier system and the relay system all contribute to the production of excitatory postsynaptic potentials (EPSPs) in a giant axon that runs in the outer nerve ring (ring giant axon). These EPSPs may cause the latter to spike during slow swimming. If it does so, it will fire tentacle giant axons, producing twitch contractions of the tentacles. Such contractions probably help to contract the tentacles rapidly at the start of slow swimming. This is an unusual case of a giant axon that normally mediates escape behaviour being appropriated for use during a non-escape activity. 3. The relay system can conduct impulses on its own but their conduction velocity is greatly increased when preceded by either pacemaker or ring giant spikes. This phenomenon, termed the 'piggyback effect', may be due to extracellular field effects rather than to actions mediated by chemical or electrical synapses. 4. Recordings from the epithelial cells that ensheath the ring giant and outer nerve ring neurones show miniature synaptic potentials and other events that seem to reflect events in the nervous system, but no functions can be assigned to them. 5. There is no obvious counterpart to the relay system in medusae lacking escape circuitry.
RESUMO
1. The ring giant axon in the outer nerve ring of the jellyfish Aglantha digitale is a multinucleate syncytium 85 % of which is occupied by an electron-dense fluid-filled vacuole apparently in a GibbsDonnan equilibrium with the surrounding band of cytoplasmic cortex. Micropipette recordings show small (-15 to -25 mV) and large (-62 to -66 mV) resting potentials. Low values, obtained with a high proportion of the micropipette penetrations, are assumed to be from the central vacuole; high values from the cytoplasmic cortex. Background electrical activity includes rhythmic oscillations and synaptic potentials representing hair cell input caused by vibration. 2. After the ring giant axon has been cut, propagating action potentials evoked by stimulation are conducted past the cut and re-enter the axon on the far side. The system responsible (the carrier system) through-conducts at a velocity approximately 25 % of that of the ring giant axon and is probably composed of small neurones running in parallel with it. Numerous small neurones are seen by electron microscopy, some making one-way and some two-way synapses with the ring giant. 3. Despite their different conduction velocities, the two systems normally appear to fire in synchrony and at the velocity of the ring giant axon. We suggest that, once initiated, ring giant spikes propagate rapidly around the margin, firing the carrier neurones through serial synapses and giving them, in effect, the same high conduction velocity. Initiation of ring giant spikes can, however, require input from the carrier system. The spikes are frequently seen to be mounted on slow positive potentials representing summed carrier postsynaptic potentials. 4. The carrier system fires one-for-one with the giant axons of the tentacles and may mediate impulse traffic between the latter and the ring giant axon. We suggest that the carrier system may also provide the pathways from the ring giant to the motor giant axons used in escape swimming. 5. The findings show that the ring giant axon functions in close collaboration with the carrier system, increasing the latter's effective conduction velocity, and that interactions with other neuronal sub-systems are probably mediated exclusively by the carrier system.
RESUMO
High-conductance Ca(2+)-activated K(+) (BK(Ca)) channels from isolated adult guinea-pig outer hair cells were studied in inside-out membrane patches. They had a 300 pS unitary conductance and were inhibited by tetraethyl ammonium (1 mM), iberiotoxin (33 nM) and charybdotoxin (50 nM). In symmetrical 144 mM KCl their K(+) permeability (P(K)) was 5.4 x 10(-13) cm(3)/s; this was reduced to around 4.5 x 10(-13) cm(3)/s with 160 mM Na(+) in place of K(+) on either internal or external membrane surface. BK(Ca) channels from trypsin-isolated hair cells had a high open probability, that depended on both membrane voltage (16 mV/e-fold change) and the concentration of calcium ions at their intracellular surface ([Ca(2+)](i)). The Hill coefficient was 3-4. About 50% of BK(Ca) channels from mechanically isolated outer hair cells had similar characteristics; the remainder had the same high conductance but a low open probability. Trypsin (<0.5 mg/ml) applied to the intracellular face of these 'inactive' channels markedly increased their open probability. It is possible that exposure to trypsin during cell isolation removes an inactivating beta subunit. This would account for the absence of 'inactive' BK(Ca) channels in trypsin-isolated cells.
Assuntos
Células Ciliadas Auditivas Externas/fisiologia , Canais de Potássio Cálcio-Ativados/efeitos dos fármacos , Tripsina/farmacologia , Potenciais de Ação/efeitos dos fármacos , Potenciais de Ação/fisiologia , Animais , Cóclea/efeitos dos fármacos , Cóclea/fisiologia , Eletrofisiologia , Cobaias , Células Ciliadas Auditivas Externas/efeitos dos fármacos , Cinética , Subunidades beta do Canal de Potássio Ativado por Cálcio de Condutância Alta , Canais de Potássio Ativados por Cálcio de Condutância Alta , Potenciais da Membrana/efeitos dos fármacos , Potenciais da Membrana/fisiologiaRESUMO
Cisplatin (CDDP) is a widely used chemotherapeutic agent. Unfortunately, CDDP is highly ototoxic. We tested D-methionine (D-Met), a sulfur containing compound, as an otoprotectant in male Wistar rats. Complete data sets were obtained for five groups of five animals each, including a treated control group (16 mg/kg CDDP), an untreated control group (administered an equivalent volume of saline) and three groups that received either 75, 150, or 300 mg/kg D-Met 30 min prior to the 16 mg/kg CDDP dosing. Auditory brainstem response (ABR) thresholds were obtained in response to clicks, and 1 kHz, 4 kHz, 8 kHz, and 14 kHz toneburst stimuli, before and 3 days after drug administration. Scanning electron microscopy (SEM) was used to examine the outer hair cells of the apical, middle and basal turns of the cochlea. Animal weight was measured on the first and final day. D-Met provided excellent otoprotection even at the lowest level with complete otoprotection obtained for the 300 mg/kg dosing as measured by both ABR and SEM. D-Met also markedly reduced weight loss and mortality. All animals receiving D-Met (15/15) survived to the end of the study period as opposed to only 5/10 of the treated controls.
Assuntos
Antineoplásicos/toxicidade , Cisplatino/toxicidade , Potenciais Evocados Auditivos do Tronco Encefálico/efeitos dos fármacos , Células Ciliadas Auditivas Externas/efeitos dos fármacos , Metionina/farmacologia , Intoxicação/prevenção & controle , Estimulação Acústica , Administração Oral , Análise de Variância , Animais , Antineoplásicos/administração & dosagem , Limiar Auditivo/efeitos dos fármacos , Cisplatino/administração & dosagem , Relação Dose-Resposta a Droga , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Células Ciliadas Auditivas Externas/citologia , Células Ciliadas Auditivas Externas/ultraestrutura , Masculino , Metionina/administração & dosagem , Metionina/uso terapêutico , Microscopia Eletrônica de Varredura , Intoxicação/mortalidade , Ratos , Ratos Wistar , Estereoisomerismo , Fixação de Tecidos , Redução de Peso/efeitos dos fármacosRESUMO
D-Methionine (D-met) protects against cisplatin (CDDP)-induced hearing loss and outer hair cell loss (Campbell et al., 1996). However, D-met's protective effects on the stria vascularis has not been previously investigated. The purpose of this study was to examine, using semi-quantitative analysis, whether D-met also protects the stria vascularis. We removed a basal turn section of the stria vascularis from five groups of five male Wistar rats each: (1) a CDDP-treated control group receiving a 30 min i.p. infusion of 16 mg/kg CDDP, (2) a saline-injected control group receiving an equivalent volume of saline, and (3) three groups injected with either 75, 150, or 300 mg/kg D-methionine (D-met) i.p. 30 min prior to receiving the 16 mg/kg CDDP dosing. Using transmission electron microscopy and light microscopy, we analyzed strial volume (i.e. edema), marginal cell damage classification (bulging and/or compression), and relative optical density (ROD) ratios (i.e. depletion of marginal cell cytoplasmic organelles). All three levels of D-met provided complete protection against marginal cell bulging and/or compression but only partial protection against strial edema. At 300 mg/kg, D-met significantly reduced ROD ratio degradation in the spiral prominence and middle stria vascularis regions. In Reissner's membrane region, values from the D-met pretreated group were not significantly different from either the treated or untreated control groups suggesting only partial protection for that area. Protection of marginal cell cytoplasmic organelles was also noted. In summary, D-met partially or fully protects the stria vascularis from several types of CDDP-induced damage.
Assuntos
Cisplatino/antagonistas & inibidores , Cisplatino/intoxicação , Metionina/farmacologia , Estria Vascular/efeitos dos fármacos , Animais , Doenças Cocleares/induzido quimicamente , Doenças Cocleares/prevenção & controle , Edema/induzido quimicamente , Edema/prevenção & controle , Potenciais Evocados Auditivos do Tronco Encefálico , Células Ciliadas Auditivas Externas/patologia , Masculino , Microscopia Eletrônica , Óptica e Fotônica , Ratos , Ratos Wistar , Estria Vascular/patologiaRESUMO
Cisplatin (CDDP) is a very effective chemotherapeutic agent but is highly ototoxic. Most studies have focused on the effects of CDDP on the outer hair cells. The purpose of this study was to examine changes in the stria vascularis in cisplatin treated male Wistar rats and to provide semiquantitative analysis of the results. We removed a section of the stria vascularis from the basal turn of five control and five CDDP (16 mg/kg) treated rats. Using transmission electron microscopy (TEM) we analyzed: (1) changes to the strial tissue as a whole; and (2) intracellular changes in the marginal cells. We also subjected the samples to semiquantitative analysis using the MCID, focusing on three aspects of strial profile abnormalities; the number of abnormal marginal cells in CDDP treated tissue, intracellular strial edema and densitometry. Controls appeared normal, but many pathologic changes were apparent in the experimental group. Results from the semiquantitative analysis indicate cisplatin has a deleterious effect on the stria vascularis including strial edema; bulging, rupture and/or compression of the marginal cells and depletion of the cytoplasmic organelles.
Assuntos
Antineoplásicos/intoxicação , Cisplatino/intoxicação , Estria Vascular/efeitos dos fármacos , Animais , Doenças Cocleares/induzido quimicamente , Doenças Cocleares/patologia , Citoplasma/efeitos dos fármacos , Citoplasma/ultraestrutura , Edema/induzido quimicamente , Edema/patologia , Masculino , Microscopia Eletrônica , Organelas/efeitos dos fármacos , Organelas/ultraestrutura , Ratos , Ratos Wistar , Valores de Referência , Estria Vascular/patologiaRESUMO
Detailed quantitative aerobic, anaerobic, fungal and mycoplasma flora was obtained for 43 women presenting with complaints of vaginal discharge and malodour. Clinical response was associated with eradication of the abnormal anaerobic flora, despite persistence of G vaginalis in nine (26%). Topical imidazole therapy appeared to have some advantage over oral therapy. Gram stains of vaginal swabs were found to be the most useful laboratory investigation.
Assuntos
Metronidazol/uso terapêutico , Nitroimidazóis/administração & dosagem , Ornidazol/administração & dosagem , Vaginite/tratamento farmacológico , Administração Oral , Administração Tópica , Adolescente , Adulto , Ensaios Clínicos como Assunto , Feminino , Gardnerella vaginalis/efeitos dos fármacos , Gardnerella vaginalis/isolamento & purificação , Humanos , Técnicas Microbiológicas , Pessoa de Meia-Idade , Odorantes , Vaginite/diagnóstico , Vaginite/etiologia , Vaginite/microbiologiaRESUMO
A detailed analysis of the microbiological flora and investigation of the host immune response to Candida albicans was performed on 22 women presenting with a history of recurrent genital candidosis, as defined by at least four clinical episodes, with at least two episodes microbiologically proven, due to C albicans in the preceding 12 months. Disease due to C albicans could occur at low counts (10(2)-10(3)/ml) or very high counts (greater than 10(8)/ml). Immunological investigations indicated that both hypersensitive and anergic states occur, the nature of the host response determining the clinical features noted on presentation. Polymicrobial mixed infections were also noted in six women. Recognition of the nature of the host response is important in understanding the pathogensis of recurrent candidosis and devising effective therapeutic regimes.
Assuntos
Candidíase/microbiologia , Doenças dos Genitais Femininos/microbiologia , Adulto , Idoso , Antibacterianos/uso terapêutico , Candidíase/tratamento farmacológico , Candidíase/imunologia , Feminino , Doenças dos Genitais Femininos/tratamento farmacológico , Doenças dos Genitais Femininos/imunologia , Humanos , Imunidade Celular , Pessoa de Meia-Idade , RecidivaRESUMO
Thirty-six young females attending the Student Health Service with vaginitis were investigated by serial semiquantitative aerobic, anaerobic, fungal, mycoplasma and viral cultures over a 10 day period and results were correlated with signs and symptoms. Antifungal therapy (econazole pessaries and cream) resulted in clearance of candida from 13 out of 16 patients where there was no increase in the anaerobic flora. In the four subjects where candida was isolated along with Gardnerella vaginalis plus abnormal anaerobic flora, only one cleared with econazole, the remaining three clearing during therapy with metronidazole. In the nine subjects with Gardnerella vaginalis and abnormal anaerobic flora, metronidazole relieved symptoms despite failure to eradicate G. vaginalis in seven indicating the pathogenic role of the anaerobic flora rather then G. vaginalis. Mycoplasma hominis, Ureaplasma urealyticum and gram negative enteric bacilli were not implicated as primary agents in causing vaginitis.
Assuntos
Vaginite/microbiologia , Adolescente , Adulto , Anaerobiose , Bactérias/isolamento & purificação , Candidíase Vulvovaginal/tratamento farmacológico , Candidíase Vulvovaginal/microbiologia , Econazol/uso terapêutico , Feminino , Gardnerella vaginalis/isolamento & purificação , Humanos , Metronidazol/uso terapêutico , Mycoplasma/isolamento & purificação , Simplexvirus/isolamento & purificação , Vaginite/tratamento farmacológicoRESUMO
A clinical trial compared the relative efficacy of tetracycline hydrochloride 250 mg qid and minocycline hydrochloride 100 mg bid given for an initial period of ten days to 59 patients suffering from non-gonococcal urethritis (NGU). Those patients with persistent symptoms or signs on completion of the initial course were given a second course for a further ten days at the same dosage. The treatments were equivalent. A significant number of patients not clinically cured after one course of treatment responded satisfactorily to a second course.
Assuntos
Minociclina/uso terapêutico , Tetraciclina/uso terapêutico , Tetraciclinas/uso terapêutico , Uretrite/tratamento farmacológico , Adolescente , Adulto , Avaliação de Medicamentos , Humanos , Masculino , Nova Zelândia , Uretrite/diagnósticoRESUMO
PREVENTION: The appropriate use of varicella vaccine, effective in the prevention of chickenpox, has been considered by a Ministry of Health Working Party in 1996 and 1997, including discussion at a workshop held in Wellington, 26-27 June 1996. The introduction of varicella vaccine into the routine childhood immunisation schedule was not supported at this stage. The use of the only varicella vaccine for which the Minister of Health has given consent for distribution in New Zealand, Varilrix (SmithKline Beecham Limited), in healthy children aged nine months to 13 years inclusive, was supported. Consent has not been given for the use of Varilrix in immunocompromised people or in adults. This report discusses other groups that could be candidates for vaccination, such as children with deteriorating renal function and susceptible health care workers who regularly come into contact with especially vulnerable patients. In these cases, the vaccine would need to be administered on a named patient basis. The use of Varilrix in immunocompromised people was not supported. SURVEILLANCE: Enhanced surveillance of chickenpox and zoster are required in New Zealand. Adverse reactions to Varilrix should be carefully monitored. OUTBREAK CONTROL: There are insufficient data at present to support the use of Varilrix in outbreak control. The frequency, cost and current management of nosocomial outbreaks should be ascertained. This information may also assist in the decision whether to incorporate a varicella vaccine into the routine childhood immunisation schedule in the future.